401k Plan data: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC plan

PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 401k Plan overview

Plan Name	PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC
Plan identification number	001

PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PINE MEDICAL GROUP, P.C. has sponsored the creation of one or more 401k plans.

Company Name: PINE MEDICAL GROUP, P.C.

Employer identification number (EIN): 382050002

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 CHRIS HUDSON
001 2013-01-01 CHRIS HUDSON
001 2012-01-01 CHRIS HUDSON
001 2011-01-01 MARJORIE YOUNG
001 2009-01-01 MARJORIE YOUNG MARJORIE YOUNG 2010-10-13
001 2009-01-01 MARJORIE YOUNG MARJORIE YOUNG 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	CHRIS HUDSON
001	2013-01-01	CHRIS HUDSON
001	2012-01-01	CHRIS HUDSON
001	2011-01-01	MARJORIE YOUNG
001	2009-01-01	MARJORIE YOUNG	MARJORIE YOUNG	2010-10-13
001	2009-01-01	MARJORIE YOUNG	MARJORIE YOUNG	2010-10-15

Plan Statistics for PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC

401k plan membership statisitcs for PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC

Measure Date Value
2014: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2014 401k membership
Total participants, beginning-of-year 2014-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2013 401k membership
Total participants, beginning-of-year 2013-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 106
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 12
Total of all active and inactive participants 2013-01-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 119
Number of participants with account balances 2013-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2012 401k membership
Total participants, beginning-of-year 2012-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 111
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 11
Total of all active and inactive participants 2012-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 123
Number of participants with account balances 2012-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 7
2011: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2011 401k membership
Total participants, beginning-of-year 2011-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 109
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 20
Total of all active and inactive participants 2011-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 130
Number of participants with account balances 2011-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2009: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2009 401k membership
Total participants, beginning-of-year 2009-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 116
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 21
Total of all active and inactive participants 2009-01-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 138
Number of participants with account balances 2009-01-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 5

Measure	Date	Value
2014: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2014 401k membership
Total participants, beginning-of-year	2014-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2013 401k membership
Total participants, beginning-of-year	2013-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	106
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	12
Total of all active and inactive participants	2013-01-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	119
Number of participants with account balances	2013-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2012 401k membership
Total participants, beginning-of-year	2012-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	111
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	11
Total of all active and inactive participants	2012-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	123
Number of participants with account balances	2012-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	7
2011: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2011 401k membership
Total participants, beginning-of-year	2011-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	109
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	20
Total of all active and inactive participants	2011-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	130
Number of participants with account balances	2011-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2009: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2009 401k membership
Total participants, beginning-of-year	2009-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	116
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	21
Total of all active and inactive participants	2009-01-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	138
Number of participants with account balances	2009-01-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5

Financial Data on PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC

Measure	Date	Value
2014 : PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-10-31	$0
Total income from all sources (including contributions)	2014-10-31	$739,874
Total of all expenses incurred	2014-10-31	$10,448,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-10-31	$10,442,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-10-31	$57,236
Value of total assets at end of year	2014-10-31	$0
Value of total assets at beginning of year	2014-10-31	$9,708,268
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-10-31	$5,695
Total interest from all sources	2014-10-31	$120,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-10-31	No
Administrative expenses professional fees incurred	2014-10-31	$5,695
Was this plan covered by a fidelity bond	2014-10-31	Yes
Value of fidelity bond cover	2014-10-31	$500,000
If this is an individual account plan, was there a blackout period	2014-10-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-10-31	No
Contributions received from participants	2014-10-31	$57,236
Participant contributions at beginning of year	2014-10-31	$63,814
Participant contributions at beginning of year	2014-10-31	$9,970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-10-31	No
Value of net income/loss	2014-10-31	$-9,708,268
Value of net assets at end of year (total assets less liabilities)	2014-10-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-10-31	$9,708,268
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-10-31	No
Were any leases to which the plan was party in default or uncollectible	2014-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-10-31	$9,384,484
Interest on participant loans	2014-10-31	$1,628
Interest earned on other investments	2014-10-31	$119,106
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-10-31	$561,904
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-10-31	No
Was there a failure to transmit to the plan any participant contributions	2014-10-31	No
Has the plan failed to provide any benefit when due under the plan	2014-10-31	No
Employer contributions (assets) at beginning of year	2014-10-31	$250,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-10-31	$10,442,447
Did the plan have assets held for investment	2014-10-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-10-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-10-31	Disclaimer
Accountancy firm name	2014-10-31	H & S COMPANIES, P.C.
Accountancy firm EIN	2014-10-31	382563599
2013 : PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$1,459,765
Total unrealized appreciation/depreciation of assets	2013-12-31	$1,459,765
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,382,913
Total of all expenses incurred	2013-12-31	$579,752
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$576,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$578,157
Value of total assets at end of year	2013-12-31	$9,708,268
Value of total assets at beginning of year	2013-12-31	$7,905,107
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,263
Total interest from all sources	2013-12-31	$298,024
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$3,263
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$328,157
Participant contributions at end of year	2013-12-31	$63,814
Participant contributions at beginning of year	2013-12-31	$32,614
Participant contributions at end of year	2013-12-31	$9,970
Participant contributions at beginning of year	2013-12-31	$14,482
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,803,161
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$9,708,268
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,905,107
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$9,384,484
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$7,658,011
Interest on participant loans	2013-12-31	$2,721
Interest earned on other investments	2013-12-31	$295,303
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$46,967
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$250,000
Employer contributions (assets) at end of year	2013-12-31	$250,000
Employer contributions (assets) at beginning of year	2013-12-31	$200,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$576,489
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	H & S COMPANIES, P.C.
Accountancy firm EIN	2013-12-31	382563599
2012 : PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$684,654
Total unrealized appreciation/depreciation of assets	2012-12-31	$684,654
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,478,014
Total of all expenses incurred	2012-12-31	$537,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$534,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$530,159
Value of total assets at end of year	2012-12-31	$7,905,107
Value of total assets at beginning of year	2012-12-31	$6,964,979
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,350
Total interest from all sources	2012-12-31	$213,146
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$3,350
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$315,267
Participant contributions at end of year	2012-12-31	$32,614
Participant contributions at beginning of year	2012-12-31	$39,254
Participant contributions at end of year	2012-12-31	$14,482
Participant contributions at beginning of year	2012-12-31	$3,596
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$14,892
Other income not declared elsewhere	2012-12-31	$33
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$940,128
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,905,107
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$6,964,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$7,658,011
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$6,746,629
Interest on participant loans	2012-12-31	$1,437
Interest earned on other investments	2012-12-31	$211,709
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$50,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$200,000
Employer contributions (assets) at end of year	2012-12-31	$200,000
Employer contributions (assets) at beginning of year	2012-12-31	$175,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$534,536
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	H & S COMPANIES, P.C.
Accountancy firm EIN	2012-12-31	382563599
2011 : PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-39,931
Total unrealized appreciation/depreciation of assets	2011-12-31	$-39,931
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$728,743
Total of all expenses incurred	2011-12-31	$563,411
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$560,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$555,467
Value of total assets at end of year	2011-12-31	$6,964,979
Value of total assets at beginning of year	2011-12-31	$6,799,647
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,384
Total interest from all sources	2011-12-31	$210,754
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$3,312
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$287,868
Participant contributions at end of year	2011-12-31	$39,254
Participant contributions at beginning of year	2011-12-31	$36,060
Participant contributions at end of year	2011-12-31	$3,596
Participant contributions at beginning of year	2011-12-31	$7,071
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$92,099
Administrative expenses (other) incurred	2011-12-31	$72
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$165,332
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$6,964,979
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$6,799,647
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$6,746,629
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$6,756,516
Interest on participant loans	2011-12-31	$1,557
Interest earned on other investments	2011-12-31	$209,197
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$2,453
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$175,500
Employer contributions (assets) at end of year	2011-12-31	$175,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$560,027
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	H & S COMPANIES, P.C.
Accountancy firm EIN	2011-12-31	382563599
2010 : PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$592,376
Total unrealized appreciation/depreciation of assets	2010-12-31	$592,376
Total income from all sources (including contributions)	2010-12-31	$1,104,242
Total of all expenses incurred	2010-12-31	$328,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$318,738
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$302,896
Value of total assets at end of year	2010-12-31	$6,799,647
Value of total assets at beginning of year	2010-12-31	$6,024,018
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$9,875
Total interest from all sources	2010-12-31	$168,824
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$9,875
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$302,896
Participant contributions at end of year	2010-12-31	$36,060
Participant contributions at beginning of year	2010-12-31	$12,982
Participant contributions at end of year	2010-12-31	$7,071
Participant contributions at beginning of year	2010-12-31	$4,221
Other income not declared elsewhere	2010-12-31	$-12
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$775,629
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$6,799,647
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,024,018
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$6,756,516
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,006,815
Interest on participant loans	2010-12-31	$1,204
Interest earned on other investments	2010-12-31	$167,620
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$40,158
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$318,738
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	H & S COMPANIES, P.C.
Accountancy firm EIN	2010-12-31	382563599

Form 5500 Responses for PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC

2014: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PROFIT SHARING PROGRAM OF PINE MEDICAL GROUP PC 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PINE MEDICAL GROUP, P.C.
Employer identification number (EIN):	382050002
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)